DIEP Surgery in Seattle
Comments
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Hi, I don't quite qualify to tell you my experience yet, but give me another day, and I'll let you know! I saw Dr. Paige in Feb, I was #21 on the wait list, somewhere around Sept/Oct. I got the call in July that my date was 9/21 with Dr. Paige & Dr. Beshlian. So I had my bilateral (prophylactic) mastectomy on 9/14, and am tired of looking down and just seeing my belly. I go in at 5:30 tomorrow, they said it would be about 10 hours.
Drs. Paige & Beshlian did my sister's recon, she had one done after her chemo and she has nothing but praise for both of these doctors. I've had atypical everything, LCIS, everything but invasive till my Dr. & I agreed that after 10 biopsies in as many years, I'm just putting in time till I get the one needing chemo, and my mom's sister had BC as well, both of these women before menopause, where I'm still at as well. I had my mastectomy at Swedish last Monday.
So, I think I'm in the ICU overnight so they can check the transplant with the Doppler thing, I should be home Fri or Sat, and as soon as I feel up to it, I'll let you know!!! (I'm certain I have enough donor fat to make 2 breasts, but I've had a number of friends offer to take one for the team, and donate additional belly fat so I can have bigger boobs. Good to have friends. Also, for this week only, my husband has bigger boobs than me, and he's offered to donate too, what a guy!)
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Wishing you the best Greeniguana! You have a great attitude going in....that helps!
Can't wait to hear from you when you have your two new girls!
NIC
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Greenlguana ... Sending positive thoughts for a smooth surgery and recovery. Thank you for sharing.
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Hi girls!: I'm back and it was do-able. I found the uncomfortable hospital bed to be the most discomforting issue of the whole ordeal. Lying in one position for hrs was not pleasant and had migraines because of this. Belly discomfort/Breast discomfort a 4 at its peak on pain scale of 1-10. By about the 3rd day, getting up a lot, sitting up and eating small meals. Each day was better. Drove home 4 hrs with spouse and only issues since (2 days) were just being sore. Just want ladies to know, its a lot scarier than it actually is. Just get yourself in good shape; situps/pushups/lose any over the top weight and go for it. Also, pick a great surgeon. Dr. Neligan at U of Wash wonderful. I will spend more time a little later compiling list of suggestions regarding procedure to help educate those of you out there with upcoming procedure.
PS Have your family member/friend watch over your shoulder while you are out of it, watching to make sure people wash hands etc., question anything that doesn't make sense. It really does help when you don't have to be in total control and can focus on healing only.
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Glad you are home and healing well and that the surgery was a success!!
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Jseda .... thanks for the input .... here's to a speed recovery !!!!!!!
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Hi girls: Amazing at how good tissue already looks 8 days out. STill a lot of swelling in new boob, but gradually getting better. Belly not uncomfortable at all, just a little tight but getting better. Will have post op on Wed and once okay'd, will start reg. exercise program. Thanks for your support. How are you doing green iguana???
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jseda ..... high fives !!!!!!!
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I just put my surgery summary under the Sept DIEP thread, so I won't duplicate it here.
Mary
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Hi girls!!
Had my post op with the PS and everything was a-ok. Did develop a large blister on the flap prior to diuresing (when body dumps the excess fluids put in during surgery). They left it intact and it has since popped and is healing without complications. PS states we'll meet first of Dec and if he thinks the tissue is ready, onto stage II. Couldn't have had better care. I give U of Wash. PS high ratings; totally impressed with their program and care. I must say I feel so fortunate to have gone from boob to boob and did not have to experience the loss. Regardless of my situation, the procedure is very dooable so don't let the hours under anesthesia deter you from getting this done. If your insurance covers this, go for it. Key is getting yourself in the best shape you can. Remember 99% of healing is all in your head. GO GIRLS, stand up for yourself and your body!
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Jseda - Congrats!!! Glad to hear all went well!!!
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My first diaganoses was in 2007 on the left side, underwent chemo and radation. Then found out in July of 2009 that I had DCIS on the right, so in August I had a bi lateral mastectomy. I will be starting the reconstuction process November 2. My plastic surgeon is David Stephens, his office is in Bellevue. Now that you've made the decision to do reconstruction you shouldn't have to wait that long.
Good luck
Sonja
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Well so much for having to wait almost a year for the DIEP procedure surgery with Dr. Paige at Virginia Mason. I am scheduled for surgery on the 14th of January. In fact they even offered me a date in November "YIKES" !!!
So questions again ... I'm scheduled for a US next week ... did you all have a US prior to surgery or did you have some other type of scan, CT ??? Figures I think of this question now that its the weekend !!!!
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JSeda,
Glad to hear that you found the care at UWMC so good. I'm scheduled for a unilateral mastectomy/SNB/immediate DIEP by Dr. Said on November 19. I'm still a month away and feel my anxiety building. Nothing has gone well with this since I was diagnosed in June. The Path reports from 2 lumpectomies showed no microinvasion despite large amounts (11-12 centimeters) of high grade DCIS, but I will confess to obsessing about possible nodal involvement. It's also on the same side as my dominant arm. My other arm is not real useful for anything requiring dexterity or small motor control, so I know I will be handicapped as I recover.
I'm also very worried about being dependent on others despite the fact that my husband is incredibly supportive. I've always been the one that everyone leans on. I don't know how to be dependent on others.
This morning I told him that he had better put me in restraints and strap me to a wheelchair to deliver me to surgery on 11/19 or I will probably run for the hills. I think I view walking into the building as surrendering not only my breast, but my sense of self and my freedom. I'm sure I've gone from stable and grounded prediagnosis to totally nuts now, but maintain that I am entitled!
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Carol,
Congratulations on getting in with Dr. Paige earlier than you thought!
I am scheduled this Monday with Dr. Beshlian (although I think they work together). I am getting both a little excited and a lot nervous. I feel very comfortable with Dr. Beshlian, he is a very kind man and seems very competent.
I had the US a while back. They are just looking for little "feeder" veins that they can use to connect the tissue to the chest veins. It took about 45 minutes and was a little tedious, but nothing uncomfortable. But you do come out of there with pen marks all over your belly.

I will let you all know what I think of their "art work" in a couple of weeks (or so).
Cyndi
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Anyone with DIEP surgery performed in the SF Bay Area? Stanford, Pennisula?
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Cyndi, thanks so much for posting ... and I can't wait to hear all about your experience, ALL GOOD of course !!!!
BTW, did you ever go to one of the Breast Reconstruction Support Group meeting at VM? I called today as I wanted to attend tomorrow night, unfortunately they have canceled it due to illness. I am looking forward to chatting with some ladies in like shoes in November and I look forward to chatting with you as well.
Best of luck for a very "uneventful", yet successful surgery.
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I had my US in May for my Sept surgery. Dr. Paige had the little grid mapping all the veins the morning of surgery, and used those to mark my stomach with a sharpie.
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Mary, happy to read your post this morning .... are we doing well about 4 weeks out right ?????
Thanks for the info on your US .... I go in Tuesday for mine and have a Jan surgery date. It's all starting to make more sense as I educate myself here on the boards. I initially thought that the mapping process would be done much closer to the actual surgery date. Did you by any chance go to any of the support group meetings either at VM or at the Polyclinic ??? I'm thinking of hitting them both next month.
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I'm doing pretty well, took the dog for a walk & went to the grocery today. Still a little stiff trying to find that "just right" sleeping position, still get frustrated with the limited ability to pick stuff up, reach stuff on the top shelves, etc, but getting there. Not on any more prescription meds, just a couple over-the-counter tylenol maybe once a day.
I didn't go to any meetings - My younger sister had Stage 2 less than 5 years ago, and Dr. Paige was her surgeon, so she gave me all kinds of info; she told me the worst part of it was the drains, and I have to say that once you get rid of those and can shower & sleep better, things seem to get better at a faster rate since you feel more "normal."
So, at 4 weeks out, the belly scar gives occasional twinges, but really, it's not so bad. The main problem with the breasts is that the tissue plus a bit of the scar extends to kind of under the armpit, and it's a little stiff, but it is relaxing more as time goes on.
Dawn, the nurse at Dr. Paige's was really great about answering any questions; she was the one who took out the drains, and they're great if you call to ask them anything (like getting a flu shot, which I did this week).
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Mary .... taking it all in "hook, line and sinker" ... Thanks !!!!
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Had my ultrasound to map out the blood supply at my abdomen. She was able to mark 3 sites (main lines) but seemed to have a hard time finding the smaller ones. I can't remember if Dr Paige said they did or did not want a lot of vessels. Figured I'd give his office a few days to get my report, guess I'm just nervous that after the U/S they might determine I'm not a good candidate for the DIEP.
Anyone else have something similar? -
Anyone been to the Polyclinic's Breast Reconstruction Support group meetings ????? I'm planning on attending tonights and hoping someone that has gone through the DIEP procedure is also in attendance.
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Hi golfer,
Did you go to the Polyclinic meeting? If so, do tell how it went. I live in Oly and have been considering going and would like to hear from someone else about recon info in the Seattle area.
Annie
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As I mentioned, I have decided to go forth with recon .... Would have never even heard those words touch my lips two years ago .... Time definitely heals !!!! For any others contemplating recon, I just wanted to pass on a great resource. I attended a support group meeting for "breast reconstruction". It was held at the Polyclinic up on Broadway. The moderator Marilyn, RN for Dr. Welk, PS was candid and very informative. She herself is a cancer survivor and had a TRAM flap recon done 12 years ago. May I say that with a very revealing "show and tell", she looks fabo, and you would be hard pressed to know which breast was the one reconstructed.
The group meets every second Weds of the month, you can Google the Polyclinic and go to News/Events and find the info, or feel free to ask me. At Weds meeting there we're more than 15 in attendance, (from a woman diagnosed the day before to others more than 10 years out). All types of recon we're discussed, and a lot of "show and tel"l ... so probably not a good place to bring a hubby !!!! It definitely gave me answers and help me feel more comfortable with my decision to go with the DIEP recon (I got lucky and 5 ladies in attendance had a DIEP recon), all said they are very pleased. Tough .... yes, but worth it !!!!
Virginia Mason does something similar on the third Tuesday of each month, and I plan on attending this coming week as that is where I will be having my surgery in January. Figure knowledge is powerful ... and I'll take what I can get ... yep, I'm slightly nervous that I'm actually doing this !!!!!
Annie .... I cut and pasted this post from a local group here in Seattle in regards to the meeting at the Polyclinic .... yep I would most defitnitely encourage anyone thinking about recon to attend. Well worth the visit IMHO !!!!
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Congrats Golfer: I'm been following your posts for sometime now and I can see that you have transformed and are now making a decision that works for you. Good girl. You did the right thing. Only through educating oneself are we empowered. You've been on the fence for sometime, asking good questions and here you are going forward. I'm proud of you. Just remember, you aren't the first women to have gone through this. There are so many others out there ahead of us that went through the same thing and came out on the other side a better and more whole being. I'm now 2 months out DIEP Lft side and I have no regrets. There is something about waking up and having a breast post mastectomy and one that is 100% part of your body.
Good Luck. Just get yourself in the best shape that you can and you'll do fine!
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I'm came home yesterday, 6 days after my unilateral MX/SNB/immediate DIEP at UWMC. I'm battered, bruised, swollen and sore, but doing better than I had expected preop given my anxiety and low pain threshold. For the first tine since this whole nightmare started 6 months ago, I've had good news all the way around. I had sufficient vasculature to have a true DIEP rather than a muscle sparing TRAM. Just talked to my surgeon who tells me that the path showed 2 clear sentinel nodes and no microinvasion. They found an additional area of discontinuous DCIS beyond the one reveled by my two lumpectomies, but margins were wide all the way around - finally!
Two things happened which I've never seen discussed here, but my discussion board surfing is hit and miss so forgive me if this is repetitive. I just felt that it might be of some benefit to those of you still awaiting surgery.
First, I was prepared for some pretty significant belly pain given what other ladies had reported and my admittedly low pain tolerance. However, it was not nearly as bad as I expected. My PCA pump delivered systemic pain meds via my IV, but I am positive that I can thank my abdominal pain catheter for most of my abdominal pain relief. A self- contained pain catheter was implanted under the skin near my abdominal incision and directly delivered pain medication to the abdominal area during my hospital stay. It was pulled a few hours before my discharge and I immediately noticed an increase in my abdominal discomfort. I personally know several women who did not have one, so it is certainly not a universal thing. Be sure to ask if you are going to have an abdominal pain catheter. I highly recommend them and think I would have had far more pain without it.
Secondly, I am happy to report that I am no longer seeing and talking to imaginary visitors and dead people. I've never been anesthetized for any significant period of time before, so had no way to know how I would react. I'm certainly not the only patient to ever be disoriented or fuzzy following anesthesia, but I was astounded to be rendered "totally loopy" (in my husband's words) for days. I always knew I was in the hospital and I knew why I was there, but the state of my cognitive clarity was fluid to say the least. In moments of lucidity, even I was aware that I could not consistently track and maintain a conversation and that I was having hallucinations, including visits from people on the other side of the country and my wonderful first husband who died 30 years ago. I remember repeatedly assuring my wonderful now husband that I was "twinking out" as a result of anesthesia and that it would go away in a day or two. I heard the ICU nurses repeatedly tell him the same thing. Unfortunately, I was still "twinking out" 4 days post op, by which time he was freaking out. I even remember asking my doctors if they thought I was having ICU psychosis or if my symptoms were more likely due to lengthy anesthesia. They felt that it was a combination of anesthesia and the sleep deprivation that follows DIEP due to hourly flap checks. I was sleep deprived due to my anxiety before admission, so I think that is certainly a likely explanation. At any rate, be aware that it can happen to you too, but it will go away.
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Congratulations TOB!!! You did it and it feels so good being on the other side. Now you just need to take it easy and let your body use those calories healing itself. I'm 2 1/2 months post DIEP and feeling wonderful. Swelling, incisions etc have healed well thus far. Its that time thing that we all have to go through but you will find that each day brings you closer and closer to being done. I've put off my second phase (nipple recon/revision) until spring when the pass is once again totally clear. Besides, still had too much swelling to complete in Dec.
The abdominal pain pump is awesome (they use marcaine-local anesthetic) and as you said, highly recommend this as abdominal pain is pretty much non-existent with this.
Take care of yourself and do check in every now and then. Highly recommend getting back to your normal routine, which takes your mind off your aches/pains and helps time to go by faster.
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Thanks J,
I was surprised to find out several days in (when I was less loopy) that the pain catheter was Marcaine based. I did a couple of catastrophic anesthesia cases years ago where Marcaine was the anesthetic agent in question, but they definitely used it correctly in this application. What a blessing it was. I sure would not have wanted to wake up without it!
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FYI .... Breast Reconstruction Support Group meeting at Virginia Mason tomorrow evening at 6:30, 11th floor
Personally starting to get nervous about my Jan 14th surgery date. Chatting with others in like shoes seems to be so helpful!!!
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